Patent Foramen Ovale Perkütan Kapama Sırasında Gelişen Sağ Atriyum Rüptürü ve Başarılı Cerrahi Tedavisi

Patent foramen ovale (PFO)'nin perkütan kapatılması, son yıllarda cerrahi tedaviye göre daha sık uygulanmaya başlanan güvenilir ve etkili bir yöntemdir. Bunun yanı sıra yönteme ait çeşitli komplikasyonlar da görülebilir. Bu olgu sunumunda, PFO’nun perkütan yolla kapatılması sırasında sağ atriyum arka duvarı perfore olan, acil şartlarda başarılı bir ameliyatla, sağ atriyumun tamiri ve PFO’nun cerrahi olarak primer kapatıldığı bir hastayı aktarmak istedik.

Anahtar Kelimeler:

Patent foramen ovale, perkütan, rüptür, cerrahi

Right Atrium Rupture and Successful Surgical Repair During Percutaneous Closure of Patent Foramen Ovale

Percutaneous closure of patent foramen ovale (PFO) is a reliable and effective method that has been used more frequently than surgical treatment in recent years. However, various complications of the method can be observed. Here we report the case of a patient in whom right atrium posterior wall perforated during percutaneous closure of PFO, for which successful surgical repair of the right atrium and surgical primary closure of PFO was performed.

Keywords:

Patent foramen ovale, percutaneous, rupture, surgery,

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1. Holzer R, Hijazi ZM. Interventional approach to congenital heart disease. Curr Opin Cardiol 2004;19:84-90.
2. Krumsdorf U, Ostermayer S, Billinger K, Trepels T, Zadan E, Horvath K, et al. Incidence and clinical course of thrombus formation on atrial septal defect and patient foramen ovale closure devices in 1000 consecutive patients. J Am Coll Cardiol 2004;43:302-9.
3. Thaler DE, Saver JL. Cryptogenic stroke and patent foramen ovale. Curr Opin Cardiol 2008;23:537-44.
4. Overell JR, Bone I, Lees KR. Interatrial septal abnormalities and stroke. A meta-analysis of case-control studies. Neurology 2000;55:1172-9.
5. Zaqout M, Suys B, De Wilde H, De Wolf D. Transthoracic echocardiography guidance of transcatheter atrial septal defect closure in children. Pediatr Cardiol 2009;30:992-4.
6. Sahin M, Ozkutlu S, Yıldırım I, Karagöz T, Celiker A. Transcatheter closure of atrial septal defects with transthoracic echocardiography. Cardiol Young 2011;21:204-8.
7. Sondergaard L, Kasner SE, Rhodes JF, Andersen G, Iversen HK, Nielsen Kudsk JE, et al.; Gore REDUCE Clinical Study Investigators. Patent foramen ovale closure or antiplatelet therapy for cryptogenic stroke. N Engl J Med 2017;377:1033-42.
8. Alsheikh-Ali AA, Thaler DE, Kent DM. Patent foramen ovale in cryptogenic stroke: incidental or pathogenic? Stroke 2009;40:2349-55.
9. Saver JL, Carroll JD, Thaler DE, Smalling RW, MacDonald LA, Marks DS, et al.; RESPECT Investigators. Long-term outcomes of patent foramen ovale closure or medical therapy after stroke. N Engl J Med 2017;377:1022-32.
10. Chiam PT, Schneider LM, Ruiz CE. Cardiac perforation during patent foramen ovale closure sealed with an amplatzer PFO occluder. J Invasive Cardiol 2008;20:665-8.

ISSN: 2149-2972
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 1990
Yayıncı: Sağlık Bilimleri Üniversitesi, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi